Staggs, Savannah Dawn
Staggs, Savannah Dawn is an individual health care provider with primary practice located at 145 N Coast Hwy Ste B , Newport OR 97365-3165. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Staggs, Savannah Dawn can be contacted via phone (541) 272-5048.Contact Information
Primary practice address
145 N Coast Hwy Ste B
Newport OR 97365-3165
Phone: (541) 272-5048
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 21-CRM-496 | Oregon |
Profile Details
| NPI number | 1730842808 |
|---|---|
| LBN Legal business name | Staggs, Savannah Dawn |
| Credentials | CRM-I |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2021 |
| Last updated | Oct 15th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730842808 | NPPES |
| Oregon | MEDICAID | THW000105645 |
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